Organization Active NPI

Marando Inc

  • Community/Retail Pharmacy
  • Pensacola, FL
National Provider Identifier
1245342179
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MARANDO INC
Practice address
5507 N W St
Pensacola, FL 32505-2435
Phone
(850) 432-2092
Fax
(850) 436-4033
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dennis HolleyNPI 1396719191
Title
President
Phone
(850) 432-2092

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PH0009792 FL
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

5507 N W St
Pensacola, FL 32505-2435

Mailing address

5507 N W St
Pensacola, FL 32505-2435
Phone (850) 432-2092

Other identifiers 2

IdentifierTypeStateIssuer
10510900MedicaidFL
1046083OtherOTHER ID NUMBER-COMMERCIAL NUMBER

Other names 1

  • FIRESIDE PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

5507 N W St
Pensacola, FL 32505
Phone (850) 432-2092

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1245342179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5507 N W ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325052435",
            "telephone_number": "850-432-2092",
            "fax_number": "850-436-4033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5507 N W ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325052435",
            "telephone_number": "850-432-2092",
            "fax_number": "850-436-4033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARANDO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "HOLLEY",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-432-2092"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "FL",
            "license": "PH0009792",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10510900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "1046083",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FIRESIDE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.